Abstract
This study evaluated the cup coverage(CC) of acetabular cup models with different sizes in patients with Crowe type Ⅱ and type Ⅲ DDH by the high hip center technique(HHC), the results shows that the CC of cup sizes with 38mm, 40mm, 42mm, 44mm, 46mm, 48mm, and 50 mm increased by 21.24%, 21.58%, 20.86%, 20.04%, 18.62%, 17.18%, and 15.42% (P<0.001) respectively as the cups elevated from the true acetabula until the maximum coverage were achieved. What surprising is the mean CC at the true acetabula were 77.85%, 76.71%, 75.73%, 74.56%, 73.68%, 72.51%, and 71.75%, respectively. So, we draw a distribution frequency map of uncovered portion of all 44-mm cups at the true acetabula to illustrate the distribution of bone defects of the acetabulum. The map shows that 95% of type Ⅱ and type Ⅲ DDH acetabula had bone defects in posterosuperior, and 60% were located outside the force line of the hip joint.Here comes to a conclusion that acetabular cups can meet the CC of more than 70% at the true acetabulum, and 60% of Crowe type Ⅱ and type Ⅲ DDH patients can obtain satisfactory CC at the true acetabulum by using a 44-mm cup without additional operation.